Individual provider Active NPI

Erica C Greenwell, PA

  • Physician Assistant
  • Bardstown, KY
National Provider Identifier
1346403326
Registry record updated Sep 15, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PA874 Issued in KY
Practice address
935 Chambers Blvd
Bardstown, KY 40004-2575
Phone
(270) 506-3300
Fax
(270) 506-2843
NPI assigned
Jul 9, 2008
Last updated
Sep 15, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 15, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X PA874 KY Primary

Addresses

Primary practice location

935 Chambers Blvd
Bardstown, KY 40004-2575

Mailing address

PO Box 21890
Belfast, ME 04915-4115
Phone (502) 907-0356

Other practice location 1

1107 Crown Pointe Dr Ste 107
Elizabethtown, KY 42701-7280
Phone (270) 506-3300

Other practice location 2

120 Executive Park
Louisville, KY 40207-4201
Phone (502) 855-7200

Other practice location 3

101 Prosperous Pl Ste 300
Lexington, KY 40509-1836
Phone (859) 275-5229

Other practice location 4

99 Wellpark Ln Apt 4
Campbellsville, KY 42718-4919
Phone (606) 260-8613

Other identifiers 3

IdentifierTypeStateIssuer
7100150780MedicaidKY
P01241187OtherKYMEDICARE RR
11359005OtherCAQH ID

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address erica.greenwell.1@16521.direct.athenahealth.com

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KY
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050407000297 KY Practitioner - Physician Assistant 5597712943 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
University of Kentucky College of Medicine, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Commonwealth Pain Associates PLLCGroup PAC ID 0941441919, 156 clinicians

Practice addresses (Care Compare)

120 Executive Park
Louisville, KY 40207-4201
Phone (502) 855-7200

935 Chambers Blvd
Bardstown, KY 40004-2575
Phone (270) 506-3300

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
89.99 of 100Reported as group
Quality
81.97
Promoting interoperability
97
Improvement activities
40
Cost
77.29

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Commonwealth Pain Associates PLLC CurrentSince Jun 1, 2021 Accepting new patients
Commonwealth Pain Associates, PLLC Physician Assistant CurrentSince Jun 1, 2021 Accepting new patients
Annandlee, PLLC Physician Assistant Current Accepting new patients

Locations

118 Patriot Dr
Bardstown, KY 40004
Phone (502) 349-0402

118 Patriot Dr
Ste 102
Bardstown, KY 40004
Phone (502) 350-1022

935 Chambers Blvd
Bardstown, KY 40004
Phone (270) 506-3300

99 Wellpark Ln
Apt 4
Campbellsville, KY 42718
Phone (606) 260-8613

101 Prosperous Pl
Ste 300
Lexington, KY 40509
Phone (859) 271-3114

223 Executive Park
Louisville, KY 40207

120 Executive Park
St Matthews, KY 40207
Phone (502) 409-9925

Interoperability endpoints

  • Direct secure messaging: erica.greenwell.1@16521.direct.athenahealth.com

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 3

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1215561600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1789430400000",
    "number": "1346403326",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 21890",
            "city": "BELFAST",
            "state": "ME",
            "postal_code": "049154115",
            "telephone_number": "502-907-0356",
            "fax_number": "502-919-9780"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "935 CHAMBERS BLVD",
            "city": "BARDSTOWN",
            "state": "KY",
            "postal_code": "400042575",
            "telephone_number": "270-506-3300",
            "fax_number": "270-506-2843"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1107 Crown Pointe Dr Ste 107",
            "address_purpose": "LOCATION",
            "city": "Elizabethtown",
            "state": "KY",
            "postal_code": "427017280",
            "country_code": "US",
            "telephone_number": "270-506-3300",
            "fax_number": "270-506-2843",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "120 Executive Park",
            "address_purpose": "LOCATION",
            "city": "Louisville",
            "state": "KY",
            "postal_code": "402074201",
            "country_code": "US",
            "telephone_number": "502-855-7200",
            "fax_number": "502-855-7201",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "101 Prosperous Pl Ste 300",
            "address_purpose": "LOCATION",
            "city": "Lexington",
            "state": "KY",
            "postal_code": "405091836",
            "country_code": "US",
            "telephone_number": "859-275-5229",
            "fax_number": "859-977-2683",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "99 Wellpark Ln Apt 4",
            "address_purpose": "LOCATION",
            "city": "Campbellsville",
            "state": "KY",
            "postal_code": "427184919",
            "country_code": "US",
            "telephone_number": "606-260-8613",
            "fax_number": "859-977-2683",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GREENWELL",
        "first_name": "ERICA",
        "middle_name": "C",
        "name_prefix": "Mrs.",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-07-09",
        "last_updated": "2026-09-15",
        "certification_date": "2026-09-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "KY",
            "license": "PA874",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7100150780",
            "state": "KY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE RR",
            "identifier": "P01241187",
            "state": "KY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAQH ID",
            "identifier": "11359005",
            "state": null
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "erica.greenwell.1@16521.direct.athenahealth.com",
            "affiliation": "N",
            "address_1": "1107 Crown Pointe Dr Ste 107",
            "city": "Elizabethtown",
            "state": "KY",
            "country_code": "US",
            "postal_code": "427017280",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Bardstown, KY

Sources for this page

Verify at the official NPI Registry.